Individual
JOHN W. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1170 LINKHAW RD, LUMBERTON, NC 28358-2524
(910) 671-1163
(910) 671-4624
Mailing address
1004 BOUNTY ACRES W, BENNETTSVILLE, SC 29512-7948
(843) 479-0457
(843) 479-5469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133
—
SC
05
—
3154
—
NC
Enumeration date
06/17/2007
Last updated
07/08/2007
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